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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Widya Medika
Beyeng, Rosalia Theodosia Dateng
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Penggunaan Antibiotik Irasional pada Pasien Anak dengan Sakit Kritis di Unit Perawatan Intensif Anak Suriadi, Regina; Sofian, Jessica; Beyeng, Rosalia Theodosia Dateng
Majalah Kedokteran Indonesia Vol 74 No 2 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.2-2024-1079

Abstract

Besides their underlying diseases, patients in the Pediatric Intensive Care Unit (PICU), also have a high risk of developing secondary infections infections due to various procedures and the long length of stay. It has become a culture to give antibiotics to almost all patients who come to the PICU. The aim of this study is to assess the pattern and impact of the irrational use of antibiotics (both as empiric therapy, prophylaxis and definitive therapy), as well as to determine the role of biomarkers as a consideration for administering antibiotics to pediatric patients in the PICU. Irrational use of antibiotics in PICU still occurs all over the world, both as empiric therapy, prophylaxis and definitive therapy. This can have an impact on increasing the incidence of antibiotic resistance, extending the length of stay, increasing the economic burden on society, and worst of all, increasing the death rate due to infection. PCT and CRP, can help to differentiate the etiology, so they are useful guides for the initiation, de-escalation, or discontinuation of antibiotics. It is important to provide regular education to medical personnel regarding the protocol for administering antibiotics, including indications, types, doses and duration of administration. A written form can also be provided to assess the need for therapy using the Gyssens flowchart. In addition, cooperation from various parties is needed to carry out a comprehensive, sustainable management strategy to resolve this problem.
HASHIMOTO DISEASE IN 7 YEARS OLD CHILD Sunardi, Wenny; Beyeng, Rosalia Theodosia Dateng; Siwi, Putu Ianta Parama
JURNAL WIDYA MEDIKA Vol. 10 No. 1 (2024): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v10i1.5263

Abstract

Hashimoto thyroiditis (AIT) is a common cause of hypothyroidism that can occur in childhood and adolescence (ages six to sixteen years) and often occurs in women. AIT can be determined by increases in TSH with normal thyroid hormone serum levels. The diagnosis of AIT based on clinical symptoms of hypothyroid, biochemical results, and ultrasound images. Treatment is carried out by administering levothyroxine at an initial dose of 1 – 2 g/weight/day. This case report aims to show that AIT can show a wide range of symptoms and effects from the treatment that given to patient.
Co-Authors Siwi, Putu Ianta Parama Sofian, Jessica Sunardi, Wenny Suriadi, Regina